Organization
PREMIER DIABETIC SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS ELISEO (PRINCIPAL)
(561) 252-1552
Entity
Organization
Contact information
Practice address
1001 N US HIGHWAY 1 STE 402, JUPITER, FL 33477-4406
(561) 746-1484
Mailing address
1001 N US HIGHWAY 1 STE 402, JUPITER, FL 33477-4406
(561) 746-1484
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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